P Praxis·MD
● Active Type 1 · Individual

Jean Robert Ferdinand, MD

Family Medicine·Locust Grove, GA· NPI 1265744759 · Enumerated 2010 · 15 years on NPI
Ferdinand is 1 of 12 family medicine providers in Locust Grove and 1 of 5448 in Georgia.
NPI age
15 years
Enumerated 2010-07-13
Primary specialty
Family Medicine
Plus 3 subspecialties
Licensed in
GA, KS, AL
3 states
Status
Active
No deactivations on record
Last NPPES update
2019-05-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
15 years
↓ 2 yr below median (17 yr)
State licenses
3 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-07Enumerated in NPPES
2010 2026

Where they practice

Practice location
3334 Highway 155
Locust Grove, GA 302483513
📞 7703057929fax 7703057969
Mailing address
4303 Jodeco Rd
McDonough, GA 302538297
📞 7708987840

Additional practice locations

1 secondary location on file with NPPES.

Location 2
210 College St
McDonough, GA 302533300
📞 4708786401fax 4708786405

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #64216 taxonomy 207Q00000X
  • Family Medicine
    A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
    KS license #7553AL license #31037GA license #64216 taxonomy 207QS0010X

Identifiers

TypeValueNotes
05 (GA) 003111758C
01 12263436 CAQH
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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